For Physicians

The Cardiovascular News Beat

August 2009

America's Best Hospitals
2009-2010

U.S.News & World Report ranks Newark Beth Israel Medical Center among the nation’s top 50 hospitals for specialty care in Heart and Heart Surgery.

Two Percutaneous VADs Implanted

The first two percutaneous ventricular assist devices (VADs) implanted at the Saint Barnabas Heart Center at Newark Beth Israel Medical Center (NBIMC) illustrate two different clinical applications of the Impella device.

Approved by the FDA last year, the Impella is the only mechanical circulatory assist device that can be placed minimally invasively through a catheter-based procedure. Up to 2.5 liters of blood per minute are delivered by the pump from the left ventricle into the
ascending aorta, providing the heart with active support in critical situations.

The first case was an emergent placement of the device by David Baran, MD, Director of Heart Failure and Transplant Research, in a 60-year-old-male patient who was transferred to NBIMC following a
massive heart attack. “His coronary arteries had opened spontaneously but there was tremendous damage to the heart muscle,” explained Dr. Baran. “The big advantage with this device is that it can be placed quickly in the Cath Lab and removed at the
bedside,” he added.

Within days, the scheduled implantation of a second Impella was led by Marc Cohen, MD, Chief of the Division of Cardiology, and interventional cardiologist Madhu Salvaji, DO. The device was implanted to provide cardiac support during a high-risk angioplasty.
“The patient had considerable myocardial ischemia resulting from prior heart attacks and two complete coronary blockages. Her ejection fraction was 15 percent,” said Dr. Cohen. “Because her blood pressure was stronger and heart function showed improvement right away, we were able to remove the Impella
immediately following the procedure.”

For more information about the comprehensive VAD program at the Saint Barnabas Heart Center at Newark Beth Israel Medical Center, please call 1.888.8.HEART.1 or 1.888.843.2781.

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